Overview

The Pharmacy Fulfillment Service manages hospital pharmacy operations for inpatient medication dispensing, unit dose systems, and medication administration recording.

Key Capabilities

Inpatient Pharmacy

• Unit dose medication dispensing
• IV admixture preparation
• Automated dispensing cabinets (ADC)
• Medication cart fills
• STAT medication delivery

Inventory Management

• Stock levels and reordering
• Expiration date tracking
• Controlled substance tracking (DEA compliance)
• Medication recalls
• Cost management

Medication Administration Record (MAR)

• Electronic MAR (eMAR)
• Barcode medication administration (BCMA)
• Five Rights verification
• Administration documentation
• Missed dose tracking

Barcode Medication Administration

Five Rights

1. Right Patient: Scan patient wristband
2. Right Medication: Scan medication barcode
3. Right Dose: System validates
4. Right Route: Oral, IV, IM, etc.
5. Right Time: Within administration window

Technology

• Barcode scanners (2D)
• Mobile medication carts
• Real-time validation
• Override documentation

Technology Stack

• Java, Spring Boot
• PostgreSQL
• Integration with ADC systems (Pyxis, Omnicell)
• RFID for controlled substances